JILLIAN MARVILLE D.P.M NPI 1144297417

NPI Information

  • NPI: 1144297417
  • Provider Name: JILLIAN MARVILLE, D.P.M
  • Classification: Podiatrist - 213E00000X
  • Entity Type: Individual
  • Address: 57-69 WEST BURNSIDE AVENUE
    BRONX, NY
    ZIP 10453
  • Phone: (718) 716-4400

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NPI Details

Jillian Marville, D.P.M is a podiatrist in Bronx, NY. The provider is a podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy. Jillian Marville, D.P.M NPI is 1144297417. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

57-69 WEST BURNSIDE AVENUE
BRONX, NY
ZIP 10453-038
Phone: (718) 716-4400
Fax: (718) 228-7471

The enumeration date for this NPI number is 3/4/2006 and was last updated on 2/9/2016.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1213E00000XPodiatristN004039-1NEW YORKYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1T51310MEDICARE UPINNEW YORK
20935828MEDICAIDNEW YORK

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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